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4-3.6%). Similarly, the longitudinal pipelines showed a higher spatial reproducibility (1.1-7.8% of DICE improvement) in all hippocampal structures compared to long_T1s_FLAIR_crossT2. Moreover, long_T1s_FLAIR provided a small but significant RE improvement in comparison to long_T1s (p = 0.015), whereas no significant DICE differences were found. In addition, structures with volumes larger than 200 mm3 had better RE (1-2%) and DICE (0.7-0.95) than smaller structures. In summary, our study suggests that the most reproducible hippocampal subfield FreeSurfer segmentations are derived from a longitudinal pipeline using 3D-T1s and 3D-FLAIR. Adapting a longitudinal pipeline to include high-resolution 2D-T2 may lead to further improvements.A total of 60 healthy (the control group) and 30 anestrous Holstein cows with inactive ovaries (the case group) from three dairy farms around Tehran were randomly selected and diagnosed to determine the concentrations of glucose, insulin, and cortisol, and the rate of the insulin resistance disorder in them. Primarily, serum samples were obtained from all animals, and the concentrations of glucose, insulin, and cortisol were measured in a laboratory. Thereupon, the glucose tolerance test (GTT) was implemented. Before the implementation of the GTT, the median of serum glucose levels (62 mg/dl), insulin (7.16 μIU/ml), and cortisol (2.5 μg/dl) was estimated in healthy cows. The median of serum glucose levels (68.5 mg/dl, p = 0.00009) was higher, and serum insulin (6.1 μIU/ml, p = 0.025) and cortisol (1.1 μg/dl, p = 0.00029) levels were lesser in the anestrous cows when estimated simultaneously. After the implementation of GTT, the median of serum glucose concentrations in one (120 mg/dl), two (73.5 mg/dl), and three (63.5 mg/dl) hours after the glucose injection was estimated in healthy cows. The findings also showed that the median of serum glucose levels was lesser in one (100 mg/dl, p = 0.015), similar in two (77.5 mg/dl, p = 0.9), and higher in three (70 mg/dl, p = 0.012) hours after the glucose injection in anestrous cows. In conclusion, higher serum glucose, lesser insulin and cortisol concentrations, and the different correlation between serum glucose and insulin levels before the GTT were detected in anestrous cows. The pattern of glucose changes also differed in anestrous cows after the GTT.The original version of this article unfortunately contained a mistake in one of the co-author name Prof. Don Hayes Jr. During production process, "Jr." was missed to add after the author name. The author name is corrected with this correction. learn more The original article has been corrected.

After limb loss, it is the surgeon's task to provide the patient with apain-free and resilient residual limb. Particularly in the upper extremity, there is an additional functional aspect, as appropriate muscle signals are needed to control myoelectric prostheses. Surgical management of peripheral nerves within the residual limb plays acentral role both in terms of pain treatment as well as functional human-machine interfacing.

The presentation of current surgical procedures for dealing with peripheral nerves after limb amputation.

Aliterature search is carried out regarding the surgical prophylaxis and therapy of neuroma and phantom limb pain, as well as techniques to improve the functional interface between residual limb and prosthesis. Practical recommendations are formulated based on relevant literature, as well as the experiences of the authors.

There is alarge number of different surgical techniques, particularly for the management of painful neuromas. Of the conventional methods, intramuscular neuroma and phantom limb pain.

Transcutaneous osseointegrated prosthetic systems (TOPS) are an established optional procedure for the prosthetic treatment of amputations. Under the term endo-exo-prosthesis (EEP), the endosteal adapted exo-prosthesis (Dr. Grundei®) is currently used as the only standard prosthesis for clinical application in Germany. The prosthetic treatment with EEP involves atwo-stage surgical procedure. In afirst surgical step, the endo-fixed stem is implanted into the bone; in asecond operation, approx. 2-6weeks later, the skin/soft tissue stoma is created, through which the exoprosthetic components can be coupled transcutaneously.

The aim of this manuscript was to retrospectively collect descriptive 3‑year statistics (2017-2019) from clinical follow-ups and to analyze them with regard to possible effects of TOPS on the mobility level measured by k‑levels. In addition, abrief description of the current standard of care in Germany regarding TOPS will be given.

All patients who underwent EEP after major amputation fility and, thus, to an increase in daily activities and participation in daily living.

TOPS is an established optional procedure for the treatment of limb loss. In Germany, only one implant is currently regularly implanted (endo-exo prosthesis), and the restoration is currently focused on the lower limb. The restoration of patients with major amputation of the lower extremity by means of TOPS can lead to an increase in mobility and, thus, to an increase in daily activities and participation in daily living.A 31-year-old woman with a surgically corrected double outlet right ventricle and recurrent narrow QRS complex tachycardia was admitted to our hospital. The patient was scheduled for electrophysiology study. Coherent mapping identified the critical isthmus as a slow conduction area within posterolateral intercaval scar tissue. A continuous line of ablation was applied resulting in termination of the atrial tachycardia at the site of the critical isthmus from coherent mapping. Thus, coherent mapping facilitates complex ablation procedures and improves efficacy and efficiency.This article focuses on the training situation of rheumatologists from the perspective of trainers regarding the existing and potentially increasing deficits of specialists for internal medicine and rheumatology. According to the new regulations defining the rheumatologist training, a substantial part of the training schedule is required to be completed in a hospital setting in order to become a specialist rheumatologist. In this context, the increased training capacity necessitates additional hospital training positions. In addition, the rheumatology residents desire a structured training program. Significantly, the work-life balance is an important factor to make working as a specialist for internal medicine and rheumatology more attractive.